High School Referral Application

We are excited to have you join High School Referral!


We have two session options:


  • In the Academic Year program you can start class any time before April and you are guaranteed a spot in the class as long as your counselor approves it!
  • In the Summer program we register students on a first-come, first-served basis. You will be notified of your class placement as soon as you complete the application and we get counselor approval. If classes fill up, we will have a waitlist.


Your application will be sent to your counselor, who will enter the courses you need. Please be sure to enter the counselor's email address correctly or it cannot be sent.


We will send you an email once the counselor has added your courses. Please let us know if you don't receive the email after a week.


Also, if you are a new student, please be sure to complete the SCE Application. Details are available under Step #2 at www.mtsac.edu/sce/hsr/register. You will know you're done with the SCE App when you enter your PIN.

Which session are you applying for?*

iCloud emails are also discouraged as they often don't accept Mt. SAC messages.

(Only if different than the "First Name" you listed above)

Phone

Leave blank if you don't have one yet or don't know it.


If you don't have a Mt. SAC ID#, please be sure to complete Step #2 on the HSR Registration website once you have finished this form so we can create your Mt. SAC ID#.

What is your anticipated graduation year?*

If the name of your school does not appear in the list, you can type it in.

Select or enter value
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Please make sure this is the correct email for the counselor. We will email your counselor to find out which classes you are able to take.


Courses Requested

Please choose which classes you would like to take during this session. We will send these requests to your counselor, who can either 1) approve the classes, 2) change the classes, 3) not approve any classes.


If you want to take a full year of a class, you must request each semester separately. For example, Algebra 2 would be Algebra 2A and Algebra 2B.


English classes are listed in our program as English 1 (Freshman English 9), English 2 (Sophomore English 10), English 3 (Junior English 11), and English 4 (Senior English 12).


Need more classes? During the Academic Year, you can add classes after you enroll! Just email us at hsr@mtsac.edu and we can follow up with your counselor. (Summer is capped at two classes.)

Select
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OPTIONAL - leave blank if not requesting

REMINDER to also request the "B" session if you are taking a full year (e.g. Algebra 2 full year = Algebra 2A and Algebra 2B)

Select
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I have received and reviewed the High School Referral Guidelines. I understand that my son/daughter must comply with all guidelines. I understand that in order to complete a course, 1) a minimum of 62.5 hours of coursework is required per 5 credit class, 2) all coursework must be completed by the last day of class, and 3) a grade of 70% or better must be attained. I also understand that I must take an active role in helping my son/daughter complete this course. I also understand that all coursework is done online and that a student will receive a No Pass in the class if they are found to be cheating (including the use of AI).

Please write your name below to indicate that you agree with this statement above and authorize your student to enroll in Mt. SAC High School Referral courses.

Phone